Provider Demographics
NPI:1104425404
Name:SAEED, SANIA (PA-C)
Entity type:Individual
Prefix:MS
First Name:SANIA
Middle Name:
Last Name:SAEED
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:SANIA
Other - Middle Name:
Other - Last Name:SAEED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:723 S CHARLES ST STE 104
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-3857
Mailing Address - Country:US
Mailing Address - Phone:410-823-6408
Mailing Address - Fax:
Practice Address - Street 1:723 S CHARLES ST STE 104
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-3857
Practice Address - Country:US
Practice Address - Phone:410-823-6408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-19
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0008137363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC0008137OtherSTATE LICENSE